Gynecomastia is a medical condition affecting many men today. This is a common condition affecting up to 20% of adolescent males. In this condition, breast tissue develops and can enlarge into a significant mammary shape that has a feminine form. In most cases, the breast tissue is entirely normal and does not pose a risk to the affected individual’s physical health. However, the psychosocial impact necessitates this condition be taken seriously. Unfortunately, many misconceptions and unproven nonsurgical treatments are promoted. At AestheticaMD, we understand the importance of this condition. Dr. Chen Lee safely and effectively manages this condition with surgical male breast reduction. Your breast tissue is removed using a customized surgical plan to restore an aesthetic male form to your chest.
Why did this happen?…
All humans are born with mammary (breast) tissue. This tissue is hormonally sensitive. In females, a rise in estrogen hormones during adolescence leads to growth and development of mammary tissue into the feminine breast form. Similar hormonal changes in the adolescent male occur. However, males have lower levels of estrogen and mammary development usually does not exceed beyond an area confined by the areola (pigmented colored skin surrounding the nipple). In many of adolescent males, breast development progresses into a more feminine shape and is then termed developmental gynecomastia. Gynecomastia in preadolescent children should be medically investigated. Abnormalities of the pituitary gland or testes may cause gynecomastia. Adult males who develop gynecomastia should be medically evaluated for hormonal imbalances caused by recreational drug use (marijuana), medications, illness, or endocrine dysfunction. When “gynecomastia” is unilateral (on one side), this demands a more urgent and thorough evaluation to rule out male breast cancer. In the vast majority of cases, there is no identifiable cause for male breast enlargement.
How is it treated?…
Nonsurgical treatments such as exercise to build the pectoral muscles, special diets, and skin creams do not work. If a medical reason for the gynecomastia is identified, then treatment of the underlying health problem may be sufficient to treat the gynecomastia. However, the vast majority of adult patients affected with gynecomastia will require surgery.
At AestheticaMD, Dr. Chen Lee will customize a surgical plan (liposuction, incisions, excisions) to achieve a male breast reduction that has the aesthetic male form. The plastic surgery techniques for treating gynecomastia are varied and are selected based on the individual’s needs. Gynecomastia may involve excision of excess breast gland, fat, skin, or any combination of the three. When breast fat alone predominates and skin elasticity is good, liposuction is often the treatment of choice for this type of gynecomastia. When there is a combination of excess fat and breast gland, the combination of liposuction and direct gland removal through a small incision in the areola is appropriate. Gynecomastia that is associated with excess skin may require additional incisions. Whereas a certain amount of skin contraction or shrinkage is anticipated after gland and fat removal, when there is excessive inelastic skin in gynecomastia, skin reduction with incisions around the areola, or potentially in the infra-mammary crease in more extreme cases is required.
What to expect after…
After the gynecomastia surgery, small drainage tubes are often placed for a short duration following surgery. The drains are usually removed in the office three or four days after the procedure. A compressive vest is worn for anywhere from 2 to 6 weeks after surgery. Return to work is often possible three to five days after gynecomastia surgery. Depending on the magnitude of surgery it may be possible to commence exercise and fitness regiments at 1-2 weeks following surgery.
Male breast reduction can greatly change your life. No more hiding under baggy clothes. It is liberating to be able to remove your shirt in the locker room, to go swimming, or bare your chest on the beach.
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